Provider Demographics
NPI:1598844334
Name:KISSINGER, DONALD M (LPCC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:M
Last Name:KISSINGER
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3366 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-4704
Mailing Address - Country:US
Mailing Address - Phone:740-275-8202
Mailing Address - Fax:304-797-8323
Practice Address - Street 1:3366 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-4704
Practice Address - Country:US
Practice Address - Phone:740-275-8202
Practice Address - Fax:304-797-8323
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health